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Long-term insomnia does not want to take medicine? Cognitive behavioral therapy for insomnia can be a swab

Cover news reporter Ning Zhi

Some time ago, Xiao Li, who was in his 20s, encountered a difficult problem, and the work pressure was very large. Therefore, he often calculates things at work during the rest of the night, lying on the bed and playing with his mobile phone when he can't sleep, and playing until three or four o'clock in the morning. Over time, he began to become unable to sleep at night, unable to get up on time during the day, and the whole person was very tired and sleepy, and he wanted to lie down and rest when he had nothing to do.

Long-term insomnia does not want to take medicine? Cognitive behavioral therapy for insomnia can be a swab

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Later, the work problem was not easy to solve, but Xiao Li found that he had insomnia. He still can't sleep at night, can't get up during the day, and even if he tries to do everything he can to help sleep, he can't have the same good sleep effect as before.

Yu Yue, head of the medical team of the Sleep Medicine Center of the Fourth People's Hospital of Chengdu (Jiujiang Branch), said that data show that the incidence of insomnia in adults is as high as 10 to 15%, which seriously affects normal life, work and psychosomatic health. The causes of insomnia include predisposing factors for insomnia (such as personality), precipitating factors (such as various stresses), and maintenance factors (such as daytime sleep-filling behavior). The Chinese Guidelines for the Diagnosis and Treatment of Insomnia recommend psychological and behavioral therapy as the preferred treatment for insomnia, the most common being cognitive behavioral therapy for insomnia.

Dr. Yu Yue said that the Sleep Medicine Center of Chengdu Mental Health Center at No. 105 Caojin Road in Chengdu has introduced this cognitive behavioral treatment for insomnia, including sleep restriction therapy, stimulation control therapy, sleep hygiene education, cognitive therapy and relaxation training. Its efficacy is comparable to that of traditional insomnia cognitive behavior treatment, and it has the advantages of low cost and reduced travel to and from hospitals.

It is reported that this method takes two treatment modes, online and offline, the treatment cycle is 6 weeks, online refers to the form of the treating physician pushing the treatment doctor's instructions to the patient's mobile phone, the time and place are not limited, and there is no need to go to the hospital every week; offline refers to the assessment and return visit in the insomnia cognitive behavioral therapy clinic in the third and sixth weeks of treatment. It is suitable for patients with acute and chronic insomnia caused by various causes; patients who take "sleeping pills" for a long time and want to reduce or discontinue drugs; pregnant women, the elderly, or other insomnia patients with contraindications to drug treatment.

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